Provider Demographics
NPI:1447547187
Name:LA, KATIE TRUNG (LPC-S)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:TRUNG
Last Name:LA
Suffix:
Gender:
Credentials:LPC-S
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:LA
Other - Last Name:KHUC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC-S
Mailing Address - Street 1:5899 PRESTON RD.
Mailing Address - Street 2:SUITE 601
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034
Mailing Address - Country:US
Mailing Address - Phone:469-209-4014
Mailing Address - Fax:469-249-1307
Practice Address - Street 1:5899 PRESTON RD.
Practice Address - Street 2:SUITE 601
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034
Practice Address - Country:US
Practice Address - Phone:469-209-4014
Practice Address - Fax:469-249-1307
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-01
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64191101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health